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SAN JOAQUIN-c;OUNTY ENVIRONMENTAL HEALTHVtPARTMENT <br />Changes to EnvisionConnect by CERS Integration Wizard Date run 6/29/2015 <br />Submitted on: 6/24/2015 9:38:17AM CERS ID: 10181895 <br />Submitted by: Harry Shuler Email: paragonventures@sbcglobal.net Facility ID in CERS: FA0005616 <br />OWNER INFORMATION <br />Owner ID <br />Owner name <br />Mailing address <br />Work phone <br />Information prior to CIW processing <br />(current EC database) <br />OW0004441 <br />PARAGON VENTURES INC <br />PO BOX 2030 <br />STOCKTON, CA 95201 <br />209-466-3530 <br />FACILITY FILE INFORMATION <br />Facility ID <br />FA0005616 <br />Facility name <br />PARAGON VENTURES INC <br />Site address <br />1722 E FLORA ST <br />City <br />STOCKTON <br />ZIP code <br />95205 <br />Facility phone <br />209466-3530 <br />Facility mailing address PO BOX 2030 <br />STOCKTON, CA 95201 <br />BILLING INFORMATION <br />Contact name <br />PARAGON VENTURES INC <br />Address <br />PO BOX 2030 <br />STOCKTON <br />STOCKTON, CA 95201 <br />Contact phone <br />209-466-3530 <br />Contact email <br />paragonventures@sbcglobal.net <br />Mail invoices to <br />Account <br />Information after CIW processing CERS <br />(current submittal) field <br />PARAGON VENTURES INC 111 <br />PO BOX 2030 113 <br />STOCKTON, CA 95201 114, 115, 116 <br />2094663530 112 <br />PARAGON VENTURES INC <br />3 <br />1722 E FLORA ST <br />103 <br />STOCKTON <br />104 <br />95205 <br />105 <br />2094663530 <br />102 <br />PO BOX 2030 <br />108a <br />STOCKTON, CA 95201 <br />108b, 108c, 108d <br />PARAGON VENTURES INC 140 <br />PO BOX 2030 143 <br />STOCKTON, CA 95201 144, 145, 146 <br />2094663530 141 <br />paragonventures@sbcglobal.net 142 <br />Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW <br />created [ ] Tiered permit [ ] APSA [ ] CalARP [ ] UST <br />New PR#: _ <br />New PE: _ <br />Assigned to: <br />Please bill: [ ] full calendar year [ ] prorate this calendar year [ ] next calendar year <br />[ ] exempt from billing <br />Processed through CERS Integration Wizard by: 07--O Date: 03cl <br />-------------------------------------------------- <br />Accounting: Reviewed by: Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br />[ ] Acct billed [ ] Surcharge verified By: <br />—----- <br />(Y7 Date: -:!I 5 l <br />ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br />Program Element and Description Record ID Employee name Status <br />Reactivated Inactivated <br />1921 - HMBP-Regular-Primary Location PR0520291 HAZA SAEED Active <br />[ ] [ ] <br />2220 - SM HW GEN <5 TONSNR PR0540224 CINDY VO Active <br />[ ] <br />2381 - UST FACILITY (BEFORE 1/84) - obsolete PRO502921 LETITIA BRIGGS Inactive <br />[ ] [ ] <br />2399 - UNIFIED PROGRAM FAC STATE SURCHARGE FEE PR0510391 HAZ MAT SJC DES Inactive <br />[ ] [ ] <br />ERSC - ELECTRONIC REPORTING STATE SURCHARGE FI PR0533837 not assigned Inactive <br />[ ] [ ] <br />lam' ✓k4 { �� <br />